Thromboangiitis osachotsa

Thromboangiitis obliterans ndi matenda osowa omwe mitsempha ya magazi ya manja ndi mapazi imatsekedwa.

Thromboangiitis obliterans (Matenda a Buerger) amayamba chifukwa cha mitsempha yaying'ono yamagazi yomwe imatuluka ndikutupa. Mitsempha yamagazi imachepetsa kapena kutsekedwa ndi magazi (thrombosis). Mitsempha yamagazi ya manja ndi mapazi imakhudzidwa kwambiri. Mitsempha imakhudzidwa kwambiri kuposa mitsempha. Avereji ya msinkhu pamene zizindikiro zimayamba ndi pafupifupi 35. Amayi ndi achikulire amakhudzidwa nthawi zambiri.

Vutoli limakhudza anyamata azaka zapakati pa 20 mpaka 45 omwe amasuta kwambiri kapena amatafuna fodya. Osuta achikazi amathanso kukhudzidwa. Matendawa amakhudza anthu ambiri ku Middle East, Asia, Mediterranean, ndi Eastern Europe. Anthu ambiri omwe ali ndi vutoli amakhala ndi vuto la mano, makamaka chifukwa chogwiritsa ntchito fodya.

Zizindikiro nthawi zambiri zimakhudza 2 kapena miyendo yambiri ndipo imatha kuphatikiza:

• Zala kapena zala zakumaso zomwe zimawoneka zotuwa, zofiira, kapena zabuluu ndipo zimamva kuzizira kukakhudza.
• Mwadzidzidzi kupweteka kwambiri m'manja ndi m'mapazi. Ululu ukhoza kumverera ngati woyaka kapena wolusa.
• Zowawa m'manja ndi m'mapazi zomwe zimapezeka nthawi zambiri mukamapuma. Kupweteka kumatha kukulirakulira pamene manja ndi mapazi zizizira kapena mukapanikizika.
• Kupweteka kwa miyendo, akakolo, kapena mapazi mukamayenda (mawu apakatikati). Kupweteka kumapezeka nthawi zambiri pamapazi.
• Kusintha kwa khungu kapena zilonda zazing'ono zopweteka zala kapena zala zakumapazi.
• Nthawi zina, nyamakazi m'manja kapena mawondo imayamba mitsempha yamagazi isanatseke.

Mayeso otsatirawa atha kuwonetsa kutsekeka kwa mitsempha yamagazi m'manja kapena m'miyendo yomwe yakhudzidwa:

• Ultrasound ya mitsempha yamagazi kumapeto, yotchedwa plethysmography
• Doppler ultrasound ya kumapeto
• Arteriogram yochokera ku catheter

Kuyezetsa magazi pazifukwa zina zam'mitsempha yamagazi yotupa (vasculitis) ndikutseka (kutsekedwa) kwa mitsempha yamagazi kumatha kuchitika. Izi zimayambitsa matenda a shuga, scleroderma, vasculitis, hypercoagulability, ndi atherosclerosis. Palibe mayeso amwazi omwe amapezeka kuti ndi a thromboangiitis obliterans.

Echocardiogram ya mtima ikhoza kuchitidwa kuti ipeze magwero a magazi. Nthawi zambiri pamene matendawa sadziwika bwinobwino, chidziwitso cha mitsempha ya magazi chimachitika.

Palibe mankhwala a thromboangiitis obliterans. Cholinga cha chithandizo ndikuteteza zizindikilo ndikutchinjiriza matendawa.

Kuletsa kugwiritsa ntchito fodya kwamtundu uliwonse ndikofunika kwambiri kuti muchepetse matendawa. Mankhwala osuta fodya amalimbikitsidwa kwambiri. Ndikofunikanso kupewa kutentha kwazizira ndi zina zomwe zimachepetsa magazi kutuluka m'manja ndi m'mapazi.

Kugwiritsa ntchito kutentha ndi kuchita masewera olimbitsa thupi kungathandize kuwonjezera kufalikira.

Aspirin ndi mankhwala omwe amatsegula mitsempha ya magazi (vasodilator) atha kuthandiza. Pazochitika zoyipa kwambiri, kuchitidwa opaleshoni kuti muchepetse mitsempha m'deralo (opaleshoni ya sympathectomy) kumatha kuthandizira kuchepetsa ululu. Nthawi zambiri, opaleshoni yopanga opaleshoni imaganiziridwa mwa anthu ena.

Kungakhale kofunikira kudula zala kapena zala zazing'ono ngati malowa atenga kachilombo kwambiri ndipo minofu imamwalira.

Zizindikiro za thromboangiitis obliterans zitha kutha ngati munthu waleka kusuta fodya. Anthu omwe akupitilizabe kusuta fodya angafunike kudulidwa mobwerezabwereza.

Zovuta zimaphatikizapo:

• Imfa yamatenda (chilonda)
• Kudula zala kapena zala zakumapazi
• Kutaya magazi kumanja kwa zala zakumapazi kapena zala zakumapazi

Imbani wothandizira zaumoyo wanu ngati:

• Muli ndi zizindikiro za thromboangiitis obliterans.
• Muli ndi thromboangiitis obliterans ndipo zizindikilo zimawonjezereka, ngakhale mutalandira chithandizo.
• Mumakhala ndi zizindikilo zatsopano.

Anthu omwe ali ndi mbiri yakale ya Raynaud kapena buluu, zala zopweteka kapena zala, makamaka ndi zilonda zam'mimba, sayenera kugwiritsa ntchito fodya wamtundu uliwonse.

Matenda a Buerger

• Opondereza a Thromboangiites
• Njira yoyendera

Akar AR, Inan B. Thromboangiitis obliterans (Matenda a Buerger). Mu: Sidawy AN, Perler BA, olemba. Rutherford Opaleshoni ya Mitsempha ndi Endovascular Therapy. 9th ed. Philadelphia, PA: Elsevier; 2019: mutu 138.

Gupta N, Wahlgren CM, Azizzadeh A, Gewertz BL. Matenda a Buerger (Thromboangiitis obliterans). Mu: Cameron JL, Cameron AM, olemba, eds. Chithandizo Chamakono Cha Opaleshoni. Wolemba 13. Philadelphia, PA: Elsevier; 2020: 1054-1057.

Jaff MR, Bartheolomew JR. Matenda ena ozungulira ochepa. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. 26 wa. Philadelphia, PA: Elsevier; 2020: chap 72.